Provider Demographics
NPI:1174084230
Name:RULING, ARIANNA LYN (DPM)
Entity type:Individual
Prefix:
First Name:ARIANNA
Middle Name:LYN
Last Name:RULING
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:ARIANNA
Other - Middle Name:L
Other - Last Name:WEDIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:892 N BROADWAY
Mailing Address - Street 2:
Mailing Address - City:MASSAPEQUA
Mailing Address - State:NY
Mailing Address - Zip Code:11758-2352
Mailing Address - Country:US
Mailing Address - Phone:516-798-8000
Mailing Address - Fax:
Practice Address - Street 1:892 N BROADWAY
Practice Address - Street 2:
Practice Address - City:MASSAPEQUA
Practice Address - State:NY
Practice Address - Zip Code:11758-2352
Practice Address - Country:US
Practice Address - Phone:516-798-8000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-29
Last Update Date:2024-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN0007275213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist